Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.46 / $1,656.42 / $2,671.74	Facility		$1,417.46	$1,656.42	$2,671.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,069.33 / $2,563.69 / $2,913.30	Professional		$1,069.33	$2,563.69	$2,913.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,012.68 / $4,012.68 / $4,012.68	Professional		$4,012.68	$4,012.68	$4,012.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,560.27 / $1,560.27 / $1,728.97	Professional		$1,560.27	$1,560.27	$1,728.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6,039.30 / $6,039.30 / $6,039.30	Facility		$6,039.30	$6,039.30	$6,039.30
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,831.95 / $1,831.95 / $4,012.68	Professional		$1,831.95	$1,831.95	$4,012.68